Provider Demographics
NPI:1891799334
Name:FRANK, MICHAEL SANFORD (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:SANFORD
Last Name:FRANK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39242 DEQUINDRE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:STERLING HTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-3597
Mailing Address - Country:US
Mailing Address - Phone:586-979-1750
Mailing Address - Fax:586-979-4667
Practice Address - Street 1:39242 DEQUINDRE
Practice Address - Street 2:SUITE 105
Practice Address - City:STERLING HTS
Practice Address - State:MI
Practice Address - Zip Code:48310-3597
Practice Address - Country:US
Practice Address - Phone:586-979-1750
Practice Address - Fax:586-979-4667
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIMF036576174400000X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI101707514Medicaid
MI0505686107Medicare ID - Type Unspecified
MIA77251Medicare UPIN